NPIMap

Organization Active NPI

Medi Horizons Inc

Doing business as Healthreach

  • Family Medicine Physician
  • Cheyenne, WY
National Provider Identifier
1003836834
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDI HORIZONS INC
Doing business as
Healthreach
Practice address
2030 Bluegrass Cir
Cheyenne, WY 82009-7328
Phone
(307) 635-3500
Fax
(307) 635-2199
NPI assigned
Jul 21, 2006
Last updated
May 20, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
BLUEGRASS PROFESSIONAL PLAZAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Arliss Thompson, MDNPI 1831113752
Title
President
Phone
(307) 635-3500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
General Practice Physician 208D00000X NU

Addresses

Primary practice location

2030 Bluegrass Cir
Cheyenne, WY 82009-7328

Mailing address

PO Box 20170
Cheyenne, WY 82003-7004
Phone (307) 635-5393

Other identifiers 1

IdentifierTypeStateIssuer
106825300MedicaidWY

Other names 1

  • HEALTHREACH Doing business as

National Provider Directory

National Provider Directory
Part of
St James Comm HSP ER

Practitioners & affiliated clinicians

Practitioners 108

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 108

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1003836834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20170",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820037004",
            "telephone_number": "307-635-5393",
            "fax_number": "307-635-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 BLUEGRASS CIR",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820097328",
            "telephone_number": "307-635-3500",
            "fax_number": "307-635-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI HORIZONS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLUEGRASS PROFESSIONAL PLAZA",
        "enumeration_date": "2006-07-21",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "ARLISS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-635-3500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106825300",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTHREACH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.